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SB1312 • 2026

Interstate Podiatric Medical Licensure Compact

Interstate Podiatric Medical Licensure Compact

Healthcare
Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Rodriguez
Last action
2026-03-13
Official status
Senate - Died in Health Policy
Effective date
2026-07-01

Plain English Breakdown

The bill's status is 'Passed Legislature,' but it did not pass all stages, leaving uncertainty about its future implementation.

Interstate Podiatric Medical Licensure Compact

This bill creates a compact that allows podiatrists to get licenses in multiple states more easily, while still following each state's rules.

What This Bill Does

  • Creates the Interstate Podiatric Medical Licensure Compact to help podiatrists get licenses in different states.
  • Sets up requirements for podiatrists to apply and receive expedited licenses from member states.
  • Establishes a commission to manage the compact, collect fees, and handle investigations and disciplinary actions.

Who It Names or Affects

  • Podiatrists who want to practice medicine across multiple states.
  • State agencies responsible for issuing and regulating podiatric medical licenses.

Terms To Know

Expedited license
A full unrestricted license granted quickly by a member state to an eligible podiatrist through the compact process.
Member board
The state agency that issues and regulates podiatric medical licenses in each participating state.

Limits and Unknowns

  • The bill did not pass all stages of the legislative process, so it is uncertain if or when it will become law.
  • It does not specify how many states are expected to join the compact initially.

Bill History

  1. 2026-03-13 Senate

    • Died in Health Policy

  2. 2026-01-22 Senate

    • Introduced

  3. 2026-01-16 Senate

    • Referred to Health Policy; Appropriations Committee on Health and Human Services; Fiscal Policy

  4. 2026-01-07 Senate

    • Filed

Official Summary Text

Interstate Podiatric Medical Licensure Compact; Creating the Interstate Podiatric Medical Licensure Compact; providing purpose of the compact; specifying requirements for a podiatric physician to apply for and receive an expedited license in a member state; creating the Interstate Podiatric Medical Licensure Compact Commission; providing powers and duties, including financial powers, of the commission, etc.

Current Bill Text

Read the full stored bill text
Florida Senate
-
2026

SB 1312

By
Senator Rodriguez

40-01680-26 20261312__
1 A bill to be entitled
2 An act relating to the Interstate Podiatric Medical
3 Licensure Compact; creating s. 461.0181, F.S.;
4 creating the Interstate Podiatric Medical Licensure
5 Compact; providing purpose of the compact; defining
6 terms; specifying eligibility requirements for a
7 podiatric physician to receive an expedited license;
8 providing an exception; providing requirements for a
9 podiatric physician to designate or redesignate a
10 member state as the state of principal license for
11 certain purposes; specifying requirements for a
12 podiatric physician to apply for and receive an
13 expedited license in a member state; providing
14 validity, termination, and fee requirements for an
15 expedited license; specifying requirements for a
16 podiatric physician to renew an expedited license;
17 requiring the Interstate Podiatric Medical Licensure
18 Compact Commission to collect and distribute any
19 renewal fees in a specified manner; providing that
20 certain information be distributed to member boards;
21 requiring the commission to establish a coordinated
22 information system; providing reporting requirements
23 for such system; authorizing joint investigations by
24 the member boards; specifying requirements for such
25 investigations; specifying requirements for
26 disciplinary actions; creating the Interstate
27 Podiatric Medical Licensure Compact Commission;
28 providing for purpose, membership, and meetings of the
29 commission; requiring the commission to make certain
30 information public record; requiring the commission to
31 establish an executive committee for certain purposes;
32 providing powers and duties, including financial
33 powers, of the commission; providing for organization
34 and operation, rulemaking authority, and oversight of
35 the commission; providing for qualified immunity,
36 defense, and indemnification of the commission and its
37 employees; providing for the enforcement and default
38 procedures of the compact; providing for dispute
39 resolution procedures of the commission; providing for
40 membership, effective date, amendment, withdrawal, and
41 dissolution of the compact; providing for severability
42 and construction; providing for binding effect of the
43 compact and other laws; providing an effective date.
44
45 Be It Enacted by the Legislature of the State of Florida:
46
47 Section 1. Section 461.0181, Florida Statutes, is created
48 to read:
49
461.0181

Interstate Podiatric Medical Licensure Compact.

50
The Interstate Podiatric Medical Licensure Compact is hereby

51
enacted into law and entered into by this state with all other

52
states legally joining therein in the form substantially as

53
follows:

54
55
INTERSTATE PODIATRIC MEDICAL LICENSURE COMPACT

56
57
ARTICLE I

58
PURPOSE

59
60
(1)

In order to strengthen access to health care, and in

61
recognition of the advances in the delivery in health care, the

62
member states of the Interstate Podiatric Medical Licensure

63
Compact have allied in common purpose to develop a comprehensive

64
process that complements the existing licensing and regulatory

65
authority of state podiatric medical boards and provides a

66
streamlined process that allows podiatric physicians to become

67
licensed in multiple states, enhancing the portability of a

68
podiatric medical license and ensuring the safety of patients.

69
(2)

The compact creates another pathway for licensure and

70
does not otherwise change a state’s existing Podiatric Medical

71
Practice Act. The compact also adopts the prevailing standard

72
for licensure and affirms that the practice of podiatric

73
medicine occurs where the patient is located at the time of the

74
podiatric physician-patient encounter, and therefore, requires

75
the podiatric physician to be under the jurisdiction of the

76
state podiatric medical board where the patient is located.

77
State podiatric medical boards that participate in the compact

78
retain the jurisdiction to impose an adverse action against a

79
license to practice podiatric medicine in that state issued to a

80
podiatric physician through the procedures in the compact.

81
82
ARTICLE II

83
DEFINITIONS

84
85
As used in this compact, the term:

86
(1)

“Bylaws” means those bylaws established by the

87
commission pursuant to Article XI.

88
(2)

“Commission” means the Interstate Podiatric Medical

89
Licensure Compact Commission created pursuant to Article XI.

90
(3)

“Commissioner” means the voting representative

91
appointed by each member board pursuant to Article XI.

92
(4)

“Conviction” means a finding by a court that an

93
individual is guilty of a criminal offense through adjudication,

94
or entry of a plea of guilt or no contest to the charge by the

95
offender. Evidence of an entry of conviction of a criminal

96
offense by the court shall be considered final for purposes of

97
disciplinary action by a member board.

98
(5)

“Criminal background check” means that the member board

99
is authorized to obtain a Federal Bureau of Investigation

100
biometric based on a federal criminal records check information

101
report from the authorized state agency for the exclusive

102
purpose of determining eligibility for certification of

103
qualification that would allow for an expedited license.

104
(6)

“Expedited license” means a full unrestricted podiatric

105
medical license granted by a member state to an eligible

106
podiatric physician through the process set forth in the

107
compact.

108
(7)

“Federal criminal records check information” means any

109
information obtained by a member board from the Federal Bureau

110
of Investigation relating to a federal criminal records check

111
performed by a member board under Pub. L. No. 92-544.

112
(8)

“License” means authorization by a member state for a

113
podiatric physician to engage in the practice of podiatric

114
medicine, which would be unlawful without authorization.

115
(9)

“Member board” means a state agency in a member state

116
which acts in the sovereign interest of the state by protecting

117
the public through licensure, regulation, and education of

118
podiatric physicians as directed by the state government.

119
(10)

“Member state” means a state that has enacted the

120
compact.

121
(11)

“Offense” means a felony, gross misdemeanor, or a

122
misdemeanor related to the practice of podiatry.

123
(12)

“Podiatric Medical Practice Act” means applicable laws

124
and regulations governing the practice of podiatric medicine

125
within a member state.

126
(13)

“Podiatric physician” means any person who:

127
(a)

Is a graduate of a podiatric medical school accredited

128
by the Council on Podiatric Medical Education.

129
(b)

Passed parts I, II, and III of the National Board of

130
Podiatric Medical Examiners’ (NBPME), the American Podiatric

131
Medical Licensing Examination (APMLE), or NBPME or APMLE

132
recognized replacement examinations.

133
(c)

Successfully completed a podiatric residency program

134
approved by the Council on Podiatric Medical Education.

135
(d)

Holds specialty certification from a specialty board

136
recognized by the Council on Podiatric Medical Education.

137
(e)

Possesses a full and unrestricted license to engage in

138
the practice of podiatric medicine issued by a member board.

139
(f)

Has never been convicted of or received adjudication,

140
deferred adjudication, community supervision, or deferred

141
disposition for any offense by a court of appropriate

142
jurisdiction.

143
(g)

Has never held a license authorizing the practice of

144
podiatric medicine subjected to discipline by a licensing agency

145
in any state, federal, or foreign jurisdiction, excluding any

146
action related to the nonpayment of fees related to a license.

147
(h)

Has never had a controlled substance license or permit

148
suspended or revoked by a state or the United States Drug

149
Enforcement Administration or voluntarily surrendered such

150
license after notification of investigation.

151
(i)

Is not under active investigation by a licensing agency

152
or law enforcement authority in any state, federal, or foreign

153
jurisdiction.

154
(14)

“Practice of podiatric medicine” means that clinical

155
prevention, diagnosis, or treatment of human disease, injury, or

156
condition requiring a podiatric physician to obtain and maintain

157
a license in compliance with the Podiatric Medical Practice Act

158
of a member state.

159
(15)

“Rule” means a written statement by the commission

160
adopted pursuant to Article XII of the compact which is of

161
general applicability; implements, interprets, or prescribes a

162
policy or provision of the compact, or an organizational,

163
procedural, or practice requirement of the commission; and has

164
the force and effect of statutory law in a member state. The

165
term includes the amendment, repeal, or suspension of an

166
existing rule.

167
(16)

“State” means any state, commonwealth, district, or

168
territory of the United States.

169
(17)

“State of principal license” means a member state

170
where a podiatric physician holds a license to practice

171
podiatric medicine and which has been designated by such a

172
podiatric physician for purposes of registration and

173
participation in the compact.

174
175
ARTICLE III

176
ELIGIBILITY

177
178
(1)

A podiatric physician must meet the eligibility

179
requirements as provided in subsection (13) of Article II to

180
receive an expedited licensure under the terms and provisions of

181
the compact.

182
(2)

A podiatric physician who does not meet the

183
requirements in subsection (13) of Article II may obtain a

184
license to practice podiatric medicine in a member state if the

185
individual complies with all laws and requirements, other than

186
the compact, relating to the issuance of a license to practice

187
podiatric medicine in that state.

188
189
ARTICLE IV

190
DESIGNATION OF STATE OF PRINCIPAL LICENSE

191
192
(1)

A podiatric physician must designate a member state as

193
his or her state of principal license for purposes of

194
registration for expedited licensure through the compact if the

195
podiatric physician possesses a full and unrestricted license to

196
practice podiatric medicine in that state and the state is:

197
(a)

The state of principal residence for the podiatric

198
physician;

199
(b)

The state where at least 25 percent of his or her

200
practice of podiatric medicine occurs;

201
(c)

The location of the podiatric physician’s employer; or

202
(d)

If a state does not qualify under paragraph (a),

203
paragraph (b), or paragraph (c), the state designated as the

204
podiatric physician’s state of residence for the purpose of

205
federal income tax.

206
(2)

A podiatric physician may redesignate a member state as

207
his or her state of principal license at any time, as long as

208
the state meets one of the requirements of subsection (1).

209
(3)

The commission is authorized to develop rules to

210
facilitate redesignation of another member state as the state of

211
principal license.

212
213
ARTICLE V

214
ISSUANCE OF EXPEDITED LICENSURE

215
216
(1)

A podiatric physician seeking licensure through the

217
compact must file an application for an expedited license with

218
the member board of the state selected by the podiatric

219
physician as the state of principal license.

220
(2)

Upon receipt of an application for an expedited

221
license, the member board within the state selected as the state

222
of principal license shall evaluate whether the podiatric

223
physician is eligible for expedited licensure and issue a letter

224
of qualification, verifying or denying the podiatric physician’s

225
eligibility, in the manner established by rule of the

226
commission.

227
(a)

Qualification includes verification of podiatric

228
medical education, podiatric graduate medical education, results

229
of any podiatric medical licensing examination, and other

230
qualifications as determined by the commission by rule, and may

231
not be subject to additional primary source verification where a

232
primary source has already been verified by the state of

233
principal license.

234
(b)

The member board within the state selected as the state

235
of principal license shall, in the course of verifying

236
eligibility, perform a criminal background check of an

237
applicant, including the use of results of fingerprint or other

238
biometric data checks compliant with the requirements of the

239
Federal Bureau of Investigation with the exception of federal

240
employees who have suitability determination in accordance with

241
5 C.F.R. s. 731.202.

242
1.

Communication between a member board and the commission

243
and communication between member boards regarding the

244
verification of eligibility in Article III through the compact

245
may not include any information received from the Federal Bureau

246
of Investigation relating to a federal criminal records check

247
performed by a member board under Pub. L. No. 92-544, including

248
federal criminal records check information.

249
2.

Federal Bureau of Investigation information obtained by

250
a member board may not be shared with the commission.

251
(c)

Appeal of the determination of eligibility must be made

252
to the member state where the application was filed and is

253
subject to the law of that state.

254
(3)

Upon verification in paragraph (2)(b), a podiatric

255
physician shall complete the registration process established by

256
the commission to receive a license in a member state selected

257
pursuant to subsection (1), including the payment of all

258
applicable fees.

259
(4)

After receiving verification of eligibility under

260
subsection (2) and the payment of all applicable fees under

261
subsection (3), a member board shall issue an expedited license

262
to the podiatric physician. This license shall authorize the

263
podiatric physician to practice podiatric medicine in the

264
issuing state consistent with the Podiatric Medical Practice Act

265
and all appliable laws and regulations of the issuing member

266
board and member state.

267
(5)

An expedited license is valid for a period consistent

268
with the licensure period in the member state and in the same

269
manner as required for other podiatric physicians holding a full

270
and unrestricted license within the member state.

271
(6)

An expedited license obtained through the compact must

272
be terminated if a podiatric physician fails to maintain a

273
license in the state of principal licensure for a

274
nondisciplinary reason, without redesignation of a new state of

275
principal licensure.

276
(7)

The commission is authorized to develop rules regarding

277
the application process, including payment of all applicable

278
fees, and the reporting of the issuance of an expedited license

279
by a member board to the commission.

280
281
ARTICLE VI

282
FEES FOR EXPEDITED LICENSURE

283
284
(1)

A member state issuing an expedited license authorizing

285
the practice of podiatric medicine in that state may impose a

286
fee for a license issued or renewed through the compact.

287
(2)

The commission is authorized to develop rules regarding

288
fees for expedited licenses.

289
290
ARTICLE VII

291
RENEWAL AND CONTINUED PARTICIPATION

292
293
(1)

A podiatric physician seeking to renew an expedited

294
license granted in a member state must complete a renewal

295
process with the commission if the podiatric physician:

296
(a)

Maintains a full and unrestricted license in a state of

297
principal license;

298
(b)

Has not been convicted of or received adjudication,

299
deferred adjudication, community supervision, or deferred

300
disposition for any offense by a court of appropriate

301
jurisdiction;

302
(c)

Has not had a license authorizing the practice of

303
podiatric medicine subject to discipline by a licensing agency

304
in any state, federal, or foreign jurisdiction, or voluntarily

305
surrendered such license in lieu of discipline, excluding any

306
action related to nonpayment of fees related to a license; and

307
(d)

Has not had a controlled substance license or permit

308
suspended or revoked by a state or the United States Drug

309
Enforcement Administration or voluntarily surrendered such

310
license or permit after notification of investigation.

311
(2)

Podiatric physicians shall comply with all continuing

312
professional development or continuing medical education

313
requirements for renewal of a license issued by a member state.

314
(3)

The commission shall collect any renewal fees charged

315
for the renewal of a license and distribute the fees to the

316
applicable member board.

317
(4)

Upon receipt of the renewal fees collected in

318
subsection (3), a member board shall renew the podiatric

319
physician’s license.

320
(5)

Podiatric physician information collected by the

321
commission during the renewal process will be distributed to all

322
member boards.

323
(6)

The commission is authorized to develop rules to

324
address renewal of licenses obtained through the compact.

325
326
ARTICLE VIII

327
COORDINATED INFORMATION SYSTEM

328
329
(1)

The commission shall establish a coordinated

330
information system of all podiatric physicians who are licensed

331
or who have applied for licensure under Article V.

332
(2)

Notwithstanding any other provision of law, member

333
boards shall report to the commission any public action or

334
public complaints against a licensed podiatric physician who has

335
applied for or received an expedited license through the

336
compact.

337
(3)

Member boards shall report disciplinary or

338
investigatory information determined as necessary and proper by

339
rule of the commission.

340
(4)

Member boards may report any nonpublic complaint or any

341
disciplinary or investigatory information not required by

342
subsection (3) to the commission.

343
(5)

Member boards shall share complaint or disciplinary or

344
investigatory information about a podiatric physician upon

345
request of another member board.

346
(6)

All information provided to the commission or

347
distributed by member boards is confidential, must be filed

348
under seal, and may be used only for investigatory or

349
disciplinary matters.

350
(7)

The commission is authorized to develop rules for

351
mandated or discretionary sharing of information by member

352
boards.

353
354
ARTICLE IX

355
JOINT INVESTIGATIONS

356
357
(1)

Licensure and disciplinary records of podiatric

358
physicians are deemed investigative.

359
(2)

In addition to the authority granted to a member board

360
by its respective Podiatric Medical Practice Act, a member board

361
may participate with other member boards in joint investigations

362
of podiatric physicians licensed by the member boards.

363
(3)

A subpoena issued by a member state as part of a joint

364
investigation is enforceable in other member states.

365
(4)

Member boards may share any investigative, litigation,

366
or compliance materials in furtherance of any joint or

367
individual investigation initiated under the compact.

368
(5)

Any member state may investigate an actual or alleged

369
violation of the laws authorizing the practice of podiatric

370
medicine in any other member state in which a podiatric

371
physician holds a license to practice podiatric medicine.

372
373
ARTICLE X

374
DISCIPLINARY ACTIONS

375
376
(1)

Any disciplinary action taken by any member board

377
against a podiatric physician licensed through the compact shall

378
be deemed unprofessional conduct, which may be subject to

379
discipline by other member boards, in addition to any violation

380
of the Podiatric Medical Practice Act of that state.

381
(2)

If a license granted to a podiatric physician by a

382
member board in the state of principal license is revoked,

383
surrendered, or relinquished in lieu of discipline, or

384
suspended, all licenses issued to the podiatric physician by

385
member boards must automatically be placed, without further

386
action necessary by any member board, on the same status. If the

387
member board of the state of principal license subsequently

388
reinstates the podiatric physician’s license, a license issued

389
to the podiatric physician by any other member board must remain

390
encumbered until that respective member board takes action to

391
reinstate the license in a manner consistent with the Podiatric

392
Medical Practice Act of that state.

393
(3)

If disciplinary action is taken against a podiatric

394
physician by a member board not in a state of principal license,

395
any other member board may deem the action conclusive as to

396
matter of law and fact decided, and:

397
(a)

Impose the same or lesser sanctions against the

398
podiatric physician, so long as such sanctions are consistent

399
with the Podiatric Medical Practice Act of that state; or

400
(b)

Pursue separate disciplinary action against the

401
podiatric physician under its respective Podiatric Medical

402
Practice Act of that state, regardless of the action taken in

403
other member states.

404
(4)

If a license granted to a podiatric physician by a

405
member board is revoked, surrendered or relinquished in lieu of

406
discipline, or suspended, any license issued to a podiatric

407
physician by any other member board must be suspended,

408
automatically and immediately without further action necessary

409
by the other member boards, for 90 days upon entry of the order

410
by the disciplining board, to permit the member boards to

411
investigate the basis for the action under the Podiatric Medical

412
Practice Act of that state.

413
(5)

A member board may terminate the automatic provision

414
under subsection (2) or subsection (4) of a license it issued,

415
in a manner consistent with the Podiatric Medical Practice Act

416
of that state.

417
418
ARTICLE XI

419
INTERSTATE PODIATRIC MEDICAL LICENSURE COMPACT COMMISSION

420
421
(1)

The member states hereby create the Interstate

422
Podiatric Medical Licensure Compact Commission.

423
(2)

The purpose of the commission is the administration of

424
the Interstate Podiatric Medical Licensure Compact, which is a

425
discretionary state function.

426
(3)

The commission shall be a body corporate and joint

427
agency of the member states and shall have all the

428
responsibilities, powers, and duties set forth in the compact,

429
and such additional powers as may be conferred upon it by a

430
subsequent concurrent action of the respective legislatures of

431
the member states in accordance with the terms of the compact.

432
(4)

The commission shall be composed of one voting

433
representative appointed by each member state who shall serve as

434
a commissioner. A commissioner shall be:

435
(a)

A podiatric physician appointed to a member board;

436
(b)

An executive director, executive secretary, or similar

437
executive of a member board; or

438
(c)

A member of the public appointed to a member board.

439
(5)

The commission shall meet at least once each calendar

440
year. A portion of this meeting must be a business meeting to

441
address such matters as may properly come before the commission,

442
including the election of officers. The chair may call

443
additional meetings and shall call for a meeting upon the

444
request of a majority of the member states.

445
(6)

The bylaws may provide for meetings of the commission

446
to be conducted, in whole or in part, by teleconference, video

447
conference, or other electronic means by which all participants

448
can hear each other simultaneously and participate effectively.

449
Attendance by such electronic means shall constitute presence in

450
person at the meeting.

451
(7)

Each commissioner participating at a meeting of the

452
commission is entitled to one vote. A majority of commissioners

453
shall constitute a quorum for the transaction of business,

454
unless a larger quorum is required by commission bylaws. A

455
commissioner may not delegate a vote to another commissioner. In

456
the absence of its commissioner, a member state may delegate

457
voting authority for a specified meeting to another person from

458
that state who must meet the requirements of subsection (4).

459
(8)

The commission shall provide public notice of all

460
meetings and all meetings shall be open to the public. The

461
commission may close a meeting, in full or in portion, where it

462
determines by a two-thirds vote of the commissioners present

463
that any open meeting would be likely to:

464
(a)

Relate solely to the internal personnel practices and

465
procedures of the commission;

466
(b)

Discuss matters specifically exempted from disclosure

467
by federal law;

468
(c)

Discuss trade secrets or commercial or financial

469
information that is privileged or confidential;

470
(d)

Involve accusing a person of a crime, or formally

471
censuring a person;

472
(e)

Discuss information of a personal nature where

473
disclosure would constitute a clearly unwarranted invasion of

474
personal privacy;

475
(f)

Discuss investigative records compiled for law

476
enforcement purposes; or

477
(g)

Specifically relate to the participation in a civil

478
action or other legal proceeding.

479
(9)

The commission shall keep minutes that fully describe

480
all matters discussed in a meeting and shall provide a full and

481
accurate summary of actions taken, including a record of any

482
roll call votes.

483
(10)

The commission shall make its information and official

484
records, to the extent not otherwise designated in the compact

485
or by its rules, available to the public for inspection.

486
(11)

The commission shall establish an executive committee,

487
which shall include officers, members, and others as determined

488
by the bylaws. The executive committee shall have the power to

489
act on behalf of the commission, with the exception of

490
rulemaking, during periods when the commission is not in

491
session. When acting on behalf of the commission, the executive

492
committee shall oversee the administration of the compact,

493
including enforcement and compliance with the provisions of the

494
compact, its bylaws and rules, and other such duties as

495
necessary.

496
(12)

The commission shall establish other committees for

497
governance and administration of the compact.

498
499
ARTICLE XII

500
POWERS AND DUTIES OF THE INTERSTATE COMMISSION

501
502
The commission shall:

503
(1)

Oversee and maintain the administration of the compact;

504
(2)

Adopt rules that shall be binding to the extent and in

505
the manner provided for in the compact;

506
(3)

Issue, upon the request of a member state or member

507
board, advisory opinions concerning the meeting or

508
interpretation of the compact, its bylaws, rules, and actions;

509
(4)

Enforce compliance with compact provisions, the rules

510
adopted by the commission, and the bylaws, using all necessary

511
and proper means, including, but not limited to, the use of

512
judicial process;

513
(5)

Establish and appoint committees, including, but not

514
limited to, an executive committee as required by Article XI,

515
which shall have the power to act on behalf of the commission in

516
carrying out its powers and duties;

517
(6)

Pay, or provide for the payment of, the expenses

518
related to the establishment, organization, and ongoing

519
activities of the commission;

520
(7)

Establish and maintain one or more offices;

521
(8)

Borrow, accept, hire, or contract for services of

522
personnel;

523
(9)

Purchase and maintain insurance and bonds;

524
(10)

Employ an executive director who shall have the power

525
to employ, select, or appoint employees, agents, or consultants

526
and determine their qualifications, define their duties, and fix

527
their compensation;

528
(11)

Establish personnel policies and programs relating to

529
conflicts of interest, rates of compensation, and qualification

530
of personnel;

531
(12)

Accept donations and grants of money, equipment,

532
supplies, materials, and services to receive, use, and dispose

533
of in a manner consistent with the conflict of interest policies

534
established by the commission;

535
(13)

Lease, purchase, accept contributions or donations of,

536
or otherwise own, hold, improve, or use any property, real,

537
personal, or mixed;

538
(14)

Sell, convey, mortgage, pledge, lease, exchange,

539
abandon, or otherwise dispose of any property, real, personal,

540
or mixed;

541
(15)

Establish a budget and make expenditures;

542
(16)

Adopt a seal and bylaws governing the management and

543
operation of the commission;

544
(17)

Report annually to the legislatures and governors of

545
the member states concerning the activities of the commission

546
during the preceding year. Such reports must also include

547
reports of financial audits, and financial statements, and any

548
recommendation that may have been adopted by the commission;

549
(18)

Coordinate education, training, and public awareness

550
regarding the compact, its implementation, and its operation;

551
(19)

Maintain records in accordance with the bylaws;

552
(20)

Seek and obtain trademarks, copyrights, and patents;

553
and

554
(21)

Perform such functions as may be necessary or

555
appropriate to achieve the purpose of the compact.

556
557
ARTICLE XIII

558
FINANCIAL POWERS

559
560
(1)

The commission may levy and collect an annual

561
assessment from each member state to cover the cost of the

562
operations and activities of the commission and its staff. The

563
total assessment must be sufficient to cover the annual budget

564
approved each year for which revenue is not provided by other

565
sources. The aggregate annual assessment amount shall be

566
allocated upon a formula to be determined by the commission,

567
which shall adopt a rule binding upon all member states.

568
(2)

The commission may not incur obligations of any kind

569
before securing the funds adequate to meet the same.

570
(3)

The commission may not pledge the credit of any of the

571
member states, except by, and with the authority of, the member

572
state.

573
(4)

The commission shall maintain financial records in

574
accordance with the bylaws, including profit and loss statements

575
and balance sheet reports, which must be included in the annual

576
report of the commission.

577
578
ARTICLE XIV

579
ORGANIZATION AND OPERATION OF THE INTERSTATE COMMISSION

580
581
(1)

The commission shall, by a majority of commissioners

582
present and voting, adopt bylaws to govern its conduct as may be

583
necessary or appropriate to carry out the purposes of the

584
compact within 12 months after the first commission meeting.

585
(2)

The commission shall elect or appoint annually from

586
among its commissioners a chair, a vice chair, and a treasurer,

587
each of whom shall have such authority and duties as may be

588
specified in the bylaws. The chair or, in the chair’s absence or

589
disability, the vice chair shall preside at all meetings of the

590
commission.

591
(3)

Officers selected in subsection (2) shall serve without

592
remuneration from the commission.

593
(4)

The officers and employees of the commission shall be

594
immune from suit and liability, either personally or in their

595
official capacity, for a claim for damage to or loss of property

596
or personal injury or other civil liability caused by or arising

597
out of, or relating to, an actual or alleged act, error, or

598
omission that occurred, or that such person had a reasonable

599
basis for believing occurred, within the scope of the commission

600
employment, duties, or responsibilities; provided that such

601
person may not be protected from suit or liability for damage,

602
loss, injury, or liability caused by the intentional or willful

603
and wanton misconduct of such person.

604
(5)

The liability of the executive director and employees

605
of the commission or representatives of the commission, acting

606
within the scope of their employment or duties for acts, errors,

607
or omissions occurring within their state, may not exceed the

608
limits of liability set forth under the constitution and laws of

609
that state for state officials, employees, and agents. The

610
commission is considered to be an instrumentality of the states

611
for the purpose of such action. This subsection does not protect

612
such persons from suit or liability for damages, losses, injury,

613
or liability caused by the intentional or willful and wanton

614
misconduct of such persons.

615
(6)

The commission shall defend the executive director and

616
its employees, and subject to the approval of the attorney

617
general or other appropriate legal counsel of the member state

618
represented by the commission representative, shall defend such

619
commission representative in any civil action seeking to impose

620
liability arising out of an actual or alleged act, error, or

621
omission that occurred within the scope of commission

622
employment, duties, or responsibilities, or that the defendant

623
had a reasonable basis for believing occurred within the scope

624
of the commission employment, duties, or responsibilities,

625
provided that the actual or alleged act, error, or omission did

626
not result from intentional or willful and wanton misconduct on

627
the part of such person.

628
(7)

To the extent not covered by the state involved, member

629
state, or the commission, the representatives or employees of

630
the commission shall be held harmless in the amount of a

631
settlement or judgment, including attorney fees and costs,

632
obtained against such persons arising out of an actual or

633
alleged act, error, or omission that occurred within the scope

634
of the commission employment, duties, or responsibilities, or

635
that such persons had a reasonable basis for believing occurred

636
within the scope of commission employment, duties, or

637
responsibilities, provided that the actual or alleged act,

638
error, or omission did not result from intentional or willful

639
and wanton misconduct on the part of such person.

640
641
ARTICLE XV

642
RULEMAKING FUNCTIONS OF THE INTERSTATE COMMISSION

643
644
(1)

The commission shall adopt rules in order to

645
effectively and efficiently achieve the purpose of the compact.

646
In the event the commission exercises its rulemaking authority

647
in a manner beyond the scope of the purposes of the compact, or

648
the powers granted hereunder, such action by the commission

649
shall be invalid and have no force or effect.

650
(2)

Rules deemed appropriate for the operations of the

651
commission shall be made pursuant to the rulemaking process that

652
substantially conforms to the Model State Administrative

653
Procedure Act of 2010, and subsequent amendments thereto.

654
(3)

No later than 30 days after a rule is adopted, a person

655
may file a petition for judicial review of the rule in the

656
United States District Court for the District of Columbia or the

657
federal district where the commission has its principal offices,

658
provided that the filing of such a petition does not stay or

659
otherwise prevent the rule from becoming effective, unless the

660
court finds that the petitioner has a substantial likelihood of

661
success. The court shall give deference to the actions of the

662
commission consistent with applicable law and may not find the

663
rule to be unlawful if the rule represents a reasonable exercise

664
of the authority granted to the commission.

665
666
ARTICLE XVI

667
OVERSIGHT OF INTERSTATE COMPACT

668
669
(1)

The executive, legislative, and judicial branches of

670
state government in each member state shall enforce the compact

671
and shall take all actions necessary and appropriate to

672
effectuate the compact’s purposes and intent. The provisions of

673
the compact and the rules adopted hereunder shall have standing

674
as statutory law but may not override existing state authority

675
to regulate the practice of podiatric medicine.

676
(2)

All courts shall take judicial notice of the compact

677
and the rules in any judicial or administrative proceeding in a

678
member state pertaining to the subject matter of the compact

679
which may affect the powers, responsibilities, or actions of the

680
commission.

681
(3)

The commission shall be entitled to receive all

682
services of process in any such proceeding, and shall have

683
standing to intervene in the proceeding for all purposes.

684
Failure to provide service of process to the commission shall

685
render a judgment or order void as to the commission, the

686
compact, or adopted rules.

687
688
ARTICLE XVII

689
ENFORCEMENT OF INTERSTATE COMPACT

690
691
(1)

The commission, in the reasonable exercise of its

692
discretion, shall enforce the provisions and rules of the

693
compact.

694
(2)

The commission may, by majority vote of the

695
commissioners present and voting, initiate legal action in the

696
United States Court for the District of Columbia or, at the

697
discretion of the commission, in the federal district where the

698
commission has its principal offices, to enforce compliance with

699
the provisions of the compact, and its adopted rules and

700
commission bylaws, against a member state in default. The relief

701
sought may include both injunctive relief and damages. In the

702
event judicial enforcement is necessary, the prevailing party

703
shall be awarded all costs of such litigation, including

704
reasonable attorney fees.

705
(3)

The remedies herein may not be the exclusive remedies

706
of the commission. The commission may avail itself of any other

707
remedy available under state law or regulation of a profession.

708
709
ARTICLE XVIII

710
DEFAULT PROCEDURES

711
712
(1)

The grounds for default include, but are not limited

713
to, failure of a member board to perform such obligations or

714
responsibilities imposed upon it by the compact or the rules and

715
bylaws of the commission adopted under the compact.

716
(2)

If the commission determines that a member state has

717
defaulted in the performance of its obligations or

718
responsibilities under the compact, the bylaws, or adopted

719
rules, the commission must:

720
(a)

Provide written notice to the defaulting state and

721
other member states of the nature of the default, the means of

722
curing the default, and any action taken by the commission. The

723
commission shall specify the conditions by which the defaulting

724
state must cure its default; and

725
(b)

Provide remedial training and specific technical

726
assistance regarding the default.

727
(3)

If the defaulting state fails to cure the default, the

728
defaulting state must be terminated from the compact upon an

729
affirmative vote of the majority of the commissioners present

730
and voting, and all rights, privileges, and benefits conferred

731
by the compact shall terminate on the effective date of

732
termination. A cure of the default does not relieve the

733
offending state of obligations or liabilities incurred during

734
the period of default.

735
(4)

Termination of membership in the compact may be imposed

736
only after all other means of securing compliance have been

737
exhausted. Notice of intent to terminate shall be given by the

738
commission to the Governor, the Majority and Minority Leaders of

739
the defaulting state’s legislature, and each of the member

740
states.

741
(5)

The commission shall establish rules and procedures to

742
address licenses and podiatric physicians that are materially

743
impacted by the termination of a member state or the withdrawal

744
of a member state.

745
(6)

The member state that has been terminated is

746
responsible for all dues, obligations, and liabilities incurred

747
through the effective date of termination, including obligations

748
the performance of which extend beyond the effective date of

749
termination.

750
(7)

The commission may not bear any costs relating to any

751
state that has been found to be in default or that has been

752
terminated from the compact, unless otherwise mutually agreed

753
upon in writing between the commission and the defaulting state.

754
(8)

The defaulting state may appeal the action of the

755
commission by petitioning the United States District Court for

756
the District of Columbia or the federal district where the

757
commission has its principal offices. The prevailing party shall

758
be awarded all costs of litigation, including reasonable

759
attorney fees.

760
761
ARTICLE XIX

762
DISPUTE RESOLUTION

763
764
(1)

The commission shall attempt, upon the request of a

765
member state, to resolve disputes that are subject to the

766
compact and that arise among member states or member boards.

767
(2)

The commission shall adopt rules providing for both

768
mediation and binding dispute resolution, as appropriate.

769
770
ARTICLE XX

771
MEMBERSHIP, EFFECTIVE DATE, AND AMENDMENT

772
773
(1)

Any state is eligible to become a member of the

774
compact.

775
(2)

The compact shall become effective and binding upon

776
legislative enactment of the compact into law by at least four

777
states. Thereafter, it shall become effective and binding on a

778
state upon enactment of the compact into law by that state.

779
(3)

The governors of nonmember states, or their designees,

780
are welcome to participate in the activities of the commission

781
on a nonvoting basis before adoption of the compact by all

782
states.

783
(4)

The commission may propose amendments to the compact

784
for enactment by the member states. An amendment may not become

785
effective and binding upon the commission and other member

786
states unless and until it is enacted into law by unanimous

787
consent of the member states.

788
789
ARTICLE XXI

790
WITHDRAWAL

791
792
(1)

Once effective, the compact shall continue in force and

793
remain binding upon each member state; however, a member state

794
may withdraw from the compact by specifically repealing the

795
statute that enacted the compact into law.

796
(2)

Withdrawal from the compact shall be by the enactment

797
of a statute repealing the same, but may not take effect until 1

798
year after the effective date of such statute and until written

799
notice of the withdrawal has been given by the withdrawing state

800
to the governor of each other member state.

801
(3)

The withdrawing state shall immediately notify the

802
chair of the commission in writing upon the introduction of

803
legislation repealing the compact in the withdrawing state.

804
(4)

The commission shall notify the other member states of

805
the withdrawing state’s intent to withdraw within 60 days after

806
its receipt of notice provided under subsection (3).

807
(5)

The withdrawing state is responsible for all dues,

808
obligations, and liabilities incurred through the effective date

809
of withdrawal, including obligations the performance of which

810
extend beyond the effective date of withdrawal.

811
(6)

Reinstatement following withdrawal of a member state

812
shall occur upon the withdrawing date reenacting the compact or

813
upon such later date as determined by the commission.

814
(7)

The commission is authorized to develop rules to

815
address the impact of the withdrawal of a member state on

816
licenses granted in other member states to podiatric physicians

817
who designated the withdrawing member state as the state of

818
principal license.

819
820
ARTICLE XXII

821
DISSOLUTION

822
823
(1)

The compact shall be dissolved effective upon the date

824
of the withdrawal or default of the member state which reduces

825
the membership of the compact to one member state.

826
(2)

Upon the dissolution of the compact, the compact

827
becomes null and void and shall have no further force or effect,

828
the business and affairs of the commission shall be concluded,

829
and surplus funds shall be distributed in accordance with the

830
bylaws.

831
832
ARTICLE XXIII

833
SEVERABILITY AND CONSTRUCTION

834
835
(1)

The provisions of the compact shall be severable, and

836
if any phrase, clause, sentence, or provision is deemed

837
unenforceable, the remaining provisions of the compact shall be

838
enforceable.

839
(2)

The provisions of the compact shall be liberally

840
construed to effectuate its purposes.

841
(3)

The compact does not prohibit the applicability of

842
other interstate compacts to which the member states are

843
members.

844
845
ARTICLE XXIV

846
BINDING EFFECT OF COMPACT AND OTHER LAWS

847
848
(1)

Nothing herein prevents the enforcement of any other

849
law of a member state which is not inconsistent with the

850
compact.

851
(2)

All laws in a member state in conflict with the compact

852
are superseded to the extent of the conflict.

853
(3)

All lawful actions of the commission, including all

854
rules and bylaws adopted by the commission, are binding upon all

855
member states.

856
(4)

All agreements between the commission and the member

857
states are binding in accordance with their terms.

858
(5)

In the event any provision of the compact exceeds the

859
constitutional limits imposed on the legislature of any member

860
state, such provision is ineffective to the extent of the

861
conflict with the constitutional provision in question in that

862
member state.

863 Section 2. This act shall take effect July 1, 2026.